| NPI | 1801114343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2013-00986) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2013-00986) |
| 207Q00000X Family Medicine (Licence: IN 11015589A) | |
| 207R00000X Internal Medicine (Licence: IN 11015589A) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2020-10-25 |